NPI | 1528568540 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-20-46398) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 12046398) |
Enumeration Date | 2018-02-16 |
Last Update Date | 2023-05-19 |